title: Anesthetic considerations of percutaneous transcatheter aortic valve implantation: first attempt in Korea -A report of 2 cases-.
abstract: Conventional aortic valve replacement for severe aortic stenosis is associated with a high operative mortality in the elderly patients with significant comorbidities, including severe respiratory dysfunction, renal insufficiency, and compromised cardiac function. Human transcatheter aortic valve implantation was first reported in 2002 and has become a valid alternative in selected high-risk patients in Europe and North America. This article describes the first attempt of transfemoral transcatheter aortic valve implantation in Korea. The procedure was applied in two consecutive patients with severe aortic stenosis. Despite several intra-operative complications during procedure, the post-operative outcomes were good for both patients. At post-operative 30 days there was satisfactory prosthetic valve function and hemodynamic stability.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors.forename: Hyo Jung
authors.initials: HJ
authors.lastname: Son
authors.forename: Hwa Mi
authors.initials: HM
authors.lastname: Lee
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Chin
authors.forename: Dae Kee
authors.initials: DK
authors.lastname: Choi
authors.forename: Eun Ho
authors.initials: EH
authors.lastname: Lee
authors.forename: Ji Yeon
authors.initials: JY
authors.lastname: Sim
authors.forename: In Cheol
authors.initials: IC
authors.lastname: Choi